Sample Selection

50%

WG&S Employee Information:
WG&S Contact
First Name*
Last Name*
Email*
Phone*
What Sub-Region Are You Located In?*
Choose Your State:*
Choose Your States:*
Distributor Information:
Distributor Name*
Account Information:
Account Name:*
Account Type*
Contact:*
Street Address*
Unit # / Suite #
City*
State*
Zip Code*
Email*
Phone*
Barrel Selection:
Barrel ID*
The barrel number is the 3 digit number located on the front center of the label
Do you want empty barrels shipped with the product?*
- Yes
- No
Was this barrel selected by Mail Sample or Distillery Visit?*
*
Selected by*
Insert Customer’s Name exactly how you would like it to appear on the neck tag
Can we release non-selected barrels in your sample kit?*
- Yes, you can release non-selected barrels.
- No, I am still presenting with remaining samples.

WG&S Employee Information: